Jaudes P K, Diamond L J
Child Abuse Negl. 1985;9(3):341-7. doi: 10.1016/0145-2134(85)90030-4.
For a group of children with handicaps, growth and development are also affected by abuse or neglect. Our understanding of the problems of the abused, handicapped child emerges from experience with 37 children with cerebral palsy who have been maltreated, coupled with a review of the literature in related areas. We identify the following four problems as crucial to the study of abuse and neglect to the child with handicaps: (1) abuse that causes handicaps, (2) abuse that occurs to the handicapped child, (3) compromises in care that can occur when the handicapped child becomes involved with the medical and legal systems, and (4) arrangements for foster care or other out-of-home placement for the child with handicaps. We conclude that the very systems designed to protect and care for the child often fail, leaving the handicapped child without opportunity to reach developmental potential. In light of our observations, we recommend that the pediatrician not only be aware of the existence of abuse and neglect in the population of handicapped children, but also serve in the dual role of coordinator of services and advocate for these children.
对于一群残疾儿童来说，成长和发育也会受到虐待或忽视的影响。我们对受虐待的残疾儿童问题的理解源于对37名受虐待的脑瘫儿童的经验，以及对相关领域文献的回顾。我们确定以下四个问题对于研究残疾儿童的虐待和忽视至关重要：(1) 导致残疾的虐待，(2) 残疾儿童遭受的虐待，(3) 当残疾儿童卷入医疗和法律系统时可能出现的护理问题，以及(4) 为残疾儿童提供寄养或其他家庭外安置的安排。我们得出结论，旨在保护和照顾儿童的系统往往失灵，使残疾儿童没有机会发挥其发育潜力。根据我们的观察，我们建议儿科医生不仅要意识到残疾儿童群体中存在虐待和忽视现象，还要担任服务协调员和这些儿童倡导者的双重角色。
